Healthcare Provider Details

I. General information

NPI: 1346433257
Provider Name (Legal Business Name): DANA-FARBER CANCER INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6110
US

IV. Provider business mailing address

PO BOX 3587
BOSTON MA
02241-3587
US

V. Phone/Fax

Practice location:
  • Phone: 617-635-6904
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number1002481
License Number StateMA

VIII. Authorized Official

Name: MR. PAUL DEMBINSKI
Title or Position: SENIOR DIRECTOR OF PFS
Credential:
Phone: 617-632-3935